SlideShare a Scribd company logo
1 of 11
Summary of Health Benefits
Deductible Out of Pocket Preventative Care Hospital Services Prescription Services Emergency Services Mental Health Services Other Services Doctor’s Services Click
[object Object],[object Object],[object Object],Plan Year Deductible  Out of Network cost $### What is a Network?   Health Insurance companies maintain networks consisting of specific hospitals, doctors and other medical providers they have made prior arrangements and relationships with. You should always try to use a provider in network to ensure coverage and a lower deductible. The amount you must pay in a year before you become eligible for insurance benefits .
[object Object],[object Object],[object Object],Plan Year Out-of-Pocket  Out of Network cost $#### The maximum amount you are obligated to pay out-of-pocket each year.
Preventative Care 100% of deductible is waived  for In-Network  and Out-of –Network preventative care for
Doctor’s Services Health Plans will look at what is  Reasonable and Customary   for doctors in your area and base your reimbursement on that amount.  Office Visits Chiropractic $500 max per year Allergy In Network ##% covered after deductible ##% covered after deductible ##% covered after deductible Out of Network ##%  R&C  after deductible ##%  R&C  after deductible ##%  R&C  after deductible
Emergency Services Health Plans will look at what is  Reasonable and Customary   for doctors in your area and base your reimbursement on that amount .  Emergency Room and ER Physician In Network ##% after deductible Out of Network ##%  R&C costs  after deductible
Hospital Services Health Plans will look at what is  Reasonable and Customary   for doctors in your area and base your reimbursement on that amount.  In-Patient Surgical Facility Supplies Room and Board In-Patient Newborn Care Misc. Hospital Charges   Out-Patient In Network ##% after deductible ##% after deductible ##% after deductible Out of Network ##%  R&C costs  after deductible ##%  R&C costs  after deductible ##%  R&C costs  after deductible
Mental Disorders Substance Abuse Health Plans will look at what is  Reasonable and Customary   for doctors in your area and base your reimbursement on that amount.  In-Patient Treatment Out-Patient Treatment In Network ##% after deductible ##% after deductible Out of Network ##%   R&C costs   after deductible ##%  R&C costs   after deductible
Prescription Drug Benefit Retail,  up to  ##  day supply ##% to $#### combined out of pocket maximum Mailorder,  up to  ##  day supply ##% to $#### combined out  of pocket maximum
Other Services Private Nursing Duty ##% after deductible ##%  R&C  after deductible Home Health Care 80 Visits ##% after deductible ##%  R&C  after deductible Disagnostic X-ray,  Lab (Outpatient and Inpatient) ##% after deductible ##%  R&C  after deductible Physical Therapy Occupational and speech ($500 max) (Therapy reviewed for medical necessity after 20 visits) ##% after deductible ##%  R&C  after deductible Ambulance ##% after deductible ##%  R&C  after deductible Durable Medical Equipment $### max per calendar year ##% after deductible ##%  R&C  after deductible

More Related Content

Similar to Summary of Benefits

Cigna 2k Elect Plan Summary.pdf
Cigna 2k Elect Plan Summary.pdfCigna 2k Elect Plan Summary.pdf
Cigna 2k Elect Plan Summary.pdfPradeepSandra2
 
Affordable Healthcare
Affordable HealthcareAffordable Healthcare
Affordable HealthcareRiza
 
Complete Care Plus Template
Complete Care Plus TemplateComplete Care Plus Template
Complete Care Plus Templateclickeleven
 
2009 Powerpoint Show2
2009 Powerpoint Show22009 Powerpoint Show2
2009 Powerpoint Show2msmbinc
 
Future of healthcare
Future of healthcareFuture of healthcare
Future of healthcaredcp1256
 
Total security presentation_platinum_ny
Total security presentation_platinum_nyTotal security presentation_platinum_ny
Total security presentation_platinum_nyAida Acevedo
 
Total security presentation_platinum_ny_i_pad
Total security presentation_platinum_ny_i_padTotal security presentation_platinum_ny_i_pad
Total security presentation_platinum_ny_i_padJerold Rivera
 
Facilitating care coordination and transitions in an ACO
Facilitating care coordination and transitions in an ACOFacilitating care coordination and transitions in an ACO
Facilitating care coordination and transitions in an ACOWayne Pan
 
VEBA Plan & How to Fill Out A PHQ
VEBA Plan & How to Fill Out A PHQVEBA Plan & How to Fill Out A PHQ
VEBA Plan & How to Fill Out A PHQMitchell Bigley
 
The Changing Healthcare Consumer & the Emergence of VDPC
The Changing Healthcare Consumer & the Emergence of VDPCThe Changing Healthcare Consumer & the Emergence of VDPC
The Changing Healthcare Consumer & the Emergence of VDPCHint
 
Intro to premier care supplemental medical plan
Intro to premier care supplemental medical planIntro to premier care supplemental medical plan
Intro to premier care supplemental medical planRodney Mattos
 
meaningful use at missouri bedsides
meaningful use at missouri bedsidesmeaningful use at missouri bedsides
meaningful use at missouri bedsidescddirks
 
Potential KPIs for CDI
Potential KPIs for CDIPotential KPIs for CDI
Potential KPIs for CDIGlenn Krauss
 
Don't give up on affordable healthcare yet..
Don't give up on affordable healthcare yet..Don't give up on affordable healthcare yet..
Don't give up on affordable healthcare yet..Shane Foss
 
Cmp new information session ppt
Cmp new information session pptCmp new information session ppt
Cmp new information session pptmjohnston78
 
Essendant 2016 Reference Guide
Essendant 2016 Reference GuideEssendant 2016 Reference Guide
Essendant 2016 Reference GuideZahra Neyestani
 
OWE2018Benefits
OWE2018BenefitsOWE2018Benefits
OWE2018Benefitsleapimg
 

Similar to Summary of Benefits (20)

Cigna 2k Elect Plan Summary.pdf
Cigna 2k Elect Plan Summary.pdfCigna 2k Elect Plan Summary.pdf
Cigna 2k Elect Plan Summary.pdf
 
Affordable Healthcare
Affordable HealthcareAffordable Healthcare
Affordable Healthcare
 
Blue Cross Blue Shield Brochure
Blue Cross Blue Shield BrochureBlue Cross Blue Shield Brochure
Blue Cross Blue Shield Brochure
 
Complete Care Plus Template
Complete Care Plus TemplateComplete Care Plus Template
Complete Care Plus Template
 
2009 Powerpoint Show2
2009 Powerpoint Show22009 Powerpoint Show2
2009 Powerpoint Show2
 
Future of healthcare
Future of healthcareFuture of healthcare
Future of healthcare
 
Total security presentation_platinum_ny
Total security presentation_platinum_nyTotal security presentation_platinum_ny
Total security presentation_platinum_ny
 
Total security presentation_platinum_ny_i_pad
Total security presentation_platinum_ny_i_padTotal security presentation_platinum_ny_i_pad
Total security presentation_platinum_ny_i_pad
 
Facilitating care coordination and transitions in an ACO
Facilitating care coordination and transitions in an ACOFacilitating care coordination and transitions in an ACO
Facilitating care coordination and transitions in an ACO
 
VEBA Plan & How to Fill Out A PHQ
VEBA Plan & How to Fill Out A PHQVEBA Plan & How to Fill Out A PHQ
VEBA Plan & How to Fill Out A PHQ
 
The Changing Healthcare Consumer & the Emergence of VDPC
The Changing Healthcare Consumer & the Emergence of VDPCThe Changing Healthcare Consumer & the Emergence of VDPC
The Changing Healthcare Consumer & the Emergence of VDPC
 
Intro to premier care supplemental medical plan
Intro to premier care supplemental medical planIntro to premier care supplemental medical plan
Intro to premier care supplemental medical plan
 
Financial Destination Business Opportunity
Financial Destination Business OpportunityFinancial Destination Business Opportunity
Financial Destination Business Opportunity
 
meaningful use at missouri bedsides
meaningful use at missouri bedsidesmeaningful use at missouri bedsides
meaningful use at missouri bedsides
 
Potential KPIs for CDI
Potential KPIs for CDIPotential KPIs for CDI
Potential KPIs for CDI
 
Don't give up on affordable healthcare yet..
Don't give up on affordable healthcare yet..Don't give up on affordable healthcare yet..
Don't give up on affordable healthcare yet..
 
Cmp new information session ppt
Cmp new information session pptCmp new information session ppt
Cmp new information session ppt
 
RAS Telecom Audit PowerPoint
RAS Telecom Audit PowerPointRAS Telecom Audit PowerPoint
RAS Telecom Audit PowerPoint
 
Essendant 2016 Reference Guide
Essendant 2016 Reference GuideEssendant 2016 Reference Guide
Essendant 2016 Reference Guide
 
OWE2018Benefits
OWE2018BenefitsOWE2018Benefits
OWE2018Benefits
 

Recently uploaded

VIP Call Girl Jamshedpur Aashi 8250192130 Independent Escort Service Jamshedpur
VIP Call Girl Jamshedpur Aashi 8250192130 Independent Escort Service JamshedpurVIP Call Girl Jamshedpur Aashi 8250192130 Independent Escort Service Jamshedpur
VIP Call Girl Jamshedpur Aashi 8250192130 Independent Escort Service JamshedpurSuhani Kapoor
 
Vip Female Escorts Noida 9711199171 Greater Noida Escorts Service
Vip Female Escorts Noida 9711199171 Greater Noida Escorts ServiceVip Female Escorts Noida 9711199171 Greater Noida Escorts Service
Vip Female Escorts Noida 9711199171 Greater Noida Escorts Serviceankitnayak356677
 
RE Capital's Visionary Leadership under Newman Leech
RE Capital's Visionary Leadership under Newman LeechRE Capital's Visionary Leadership under Newman Leech
RE Capital's Visionary Leadership under Newman LeechNewman George Leech
 
GD Birla and his contribution in management
GD Birla and his contribution in managementGD Birla and his contribution in management
GD Birla and his contribution in managementchhavia330
 
Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...anilsa9823
 
Grateful 7 speech thanking everyone that has helped.pdf
Grateful 7 speech thanking everyone that has helped.pdfGrateful 7 speech thanking everyone that has helped.pdf
Grateful 7 speech thanking everyone that has helped.pdfPaul Menig
 
Regression analysis: Simple Linear Regression Multiple Linear Regression
Regression analysis:  Simple Linear Regression Multiple Linear RegressionRegression analysis:  Simple Linear Regression Multiple Linear Regression
Regression analysis: Simple Linear Regression Multiple Linear RegressionRavindra Nath Shukla
 
Non Text Magic Studio Magic Design for Presentations L&P.pptx
Non Text Magic Studio Magic Design for Presentations L&P.pptxNon Text Magic Studio Magic Design for Presentations L&P.pptx
Non Text Magic Studio Magic Design for Presentations L&P.pptxAbhayThakur200703
 
Keppel Ltd. 1Q 2024 Business Update Presentation Slides
Keppel Ltd. 1Q 2024 Business Update  Presentation SlidesKeppel Ltd. 1Q 2024 Business Update  Presentation Slides
Keppel Ltd. 1Q 2024 Business Update Presentation SlidesKeppelCorporation
 
0183760ssssssssssssssssssssssssssss00101011 (27).pdf
0183760ssssssssssssssssssssssssssss00101011 (27).pdf0183760ssssssssssssssssssssssssssss00101011 (27).pdf
0183760ssssssssssssssssssssssssssss00101011 (27).pdfRenandantas16
 
Call Girls In Sikandarpur Gurgaon ❤️8860477959_Russian 100% Genuine Escorts I...
Call Girls In Sikandarpur Gurgaon ❤️8860477959_Russian 100% Genuine Escorts I...Call Girls In Sikandarpur Gurgaon ❤️8860477959_Russian 100% Genuine Escorts I...
Call Girls In Sikandarpur Gurgaon ❤️8860477959_Russian 100% Genuine Escorts I...lizamodels9
 
Lowrate Call Girls In Sector 18 Noida ❤️8860477959 Escorts 100% Genuine Servi...
Lowrate Call Girls In Sector 18 Noida ❤️8860477959 Escorts 100% Genuine Servi...Lowrate Call Girls In Sector 18 Noida ❤️8860477959 Escorts 100% Genuine Servi...
Lowrate Call Girls In Sector 18 Noida ❤️8860477959 Escorts 100% Genuine Servi...lizamodels9
 
Call Girls In Connaught Place Delhi ❤️88604**77959_Russian 100% Genuine Escor...
Call Girls In Connaught Place Delhi ❤️88604**77959_Russian 100% Genuine Escor...Call Girls In Connaught Place Delhi ❤️88604**77959_Russian 100% Genuine Escor...
Call Girls In Connaught Place Delhi ❤️88604**77959_Russian 100% Genuine Escor...lizamodels9
 
Monte Carlo simulation : Simulation using MCSM
Monte Carlo simulation : Simulation using MCSMMonte Carlo simulation : Simulation using MCSM
Monte Carlo simulation : Simulation using MCSMRavindra Nath Shukla
 
Call Girls In Radisson Blu Hotel New Delhi Paschim Vihar ❤️8860477959 Escorts...
Call Girls In Radisson Blu Hotel New Delhi Paschim Vihar ❤️8860477959 Escorts...Call Girls In Radisson Blu Hotel New Delhi Paschim Vihar ❤️8860477959 Escorts...
Call Girls In Radisson Blu Hotel New Delhi Paschim Vihar ❤️8860477959 Escorts...lizamodels9
 
VIP Kolkata Call Girl Howrah 👉 8250192130 Available With Room
VIP Kolkata Call Girl Howrah 👉 8250192130  Available With RoomVIP Kolkata Call Girl Howrah 👉 8250192130  Available With Room
VIP Kolkata Call Girl Howrah 👉 8250192130 Available With Roomdivyansh0kumar0
 
Vip Dewas Call Girls #9907093804 Contact Number Escorts Service Dewas
Vip Dewas Call Girls #9907093804 Contact Number Escorts Service DewasVip Dewas Call Girls #9907093804 Contact Number Escorts Service Dewas
Vip Dewas Call Girls #9907093804 Contact Number Escorts Service Dewasmakika9823
 
A DAY IN THE LIFE OF A SALESMAN / WOMAN
A DAY IN THE LIFE OF A  SALESMAN / WOMANA DAY IN THE LIFE OF A  SALESMAN / WOMAN
A DAY IN THE LIFE OF A SALESMAN / WOMANIlamathiKannappan
 
/:Call Girls In Jaypee Siddharth - 5 Star Hotel New Delhi ➥9990211544 Top Esc...
/:Call Girls In Jaypee Siddharth - 5 Star Hotel New Delhi ➥9990211544 Top Esc.../:Call Girls In Jaypee Siddharth - 5 Star Hotel New Delhi ➥9990211544 Top Esc...
/:Call Girls In Jaypee Siddharth - 5 Star Hotel New Delhi ➥9990211544 Top Esc...lizamodels9
 
Lowrate Call Girls In Laxmi Nagar Delhi ❤️8860477959 Escorts 100% Genuine Ser...
Lowrate Call Girls In Laxmi Nagar Delhi ❤️8860477959 Escorts 100% Genuine Ser...Lowrate Call Girls In Laxmi Nagar Delhi ❤️8860477959 Escorts 100% Genuine Ser...
Lowrate Call Girls In Laxmi Nagar Delhi ❤️8860477959 Escorts 100% Genuine Ser...lizamodels9
 

Recently uploaded (20)

VIP Call Girl Jamshedpur Aashi 8250192130 Independent Escort Service Jamshedpur
VIP Call Girl Jamshedpur Aashi 8250192130 Independent Escort Service JamshedpurVIP Call Girl Jamshedpur Aashi 8250192130 Independent Escort Service Jamshedpur
VIP Call Girl Jamshedpur Aashi 8250192130 Independent Escort Service Jamshedpur
 
Vip Female Escorts Noida 9711199171 Greater Noida Escorts Service
Vip Female Escorts Noida 9711199171 Greater Noida Escorts ServiceVip Female Escorts Noida 9711199171 Greater Noida Escorts Service
Vip Female Escorts Noida 9711199171 Greater Noida Escorts Service
 
RE Capital's Visionary Leadership under Newman Leech
RE Capital's Visionary Leadership under Newman LeechRE Capital's Visionary Leadership under Newman Leech
RE Capital's Visionary Leadership under Newman Leech
 
GD Birla and his contribution in management
GD Birla and his contribution in managementGD Birla and his contribution in management
GD Birla and his contribution in management
 
Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
 
Grateful 7 speech thanking everyone that has helped.pdf
Grateful 7 speech thanking everyone that has helped.pdfGrateful 7 speech thanking everyone that has helped.pdf
Grateful 7 speech thanking everyone that has helped.pdf
 
Regression analysis: Simple Linear Regression Multiple Linear Regression
Regression analysis:  Simple Linear Regression Multiple Linear RegressionRegression analysis:  Simple Linear Regression Multiple Linear Regression
Regression analysis: Simple Linear Regression Multiple Linear Regression
 
Non Text Magic Studio Magic Design for Presentations L&P.pptx
Non Text Magic Studio Magic Design for Presentations L&P.pptxNon Text Magic Studio Magic Design for Presentations L&P.pptx
Non Text Magic Studio Magic Design for Presentations L&P.pptx
 
Keppel Ltd. 1Q 2024 Business Update Presentation Slides
Keppel Ltd. 1Q 2024 Business Update  Presentation SlidesKeppel Ltd. 1Q 2024 Business Update  Presentation Slides
Keppel Ltd. 1Q 2024 Business Update Presentation Slides
 
0183760ssssssssssssssssssssssssssss00101011 (27).pdf
0183760ssssssssssssssssssssssssssss00101011 (27).pdf0183760ssssssssssssssssssssssssssss00101011 (27).pdf
0183760ssssssssssssssssssssssssssss00101011 (27).pdf
 
Call Girls In Sikandarpur Gurgaon ❤️8860477959_Russian 100% Genuine Escorts I...
Call Girls In Sikandarpur Gurgaon ❤️8860477959_Russian 100% Genuine Escorts I...Call Girls In Sikandarpur Gurgaon ❤️8860477959_Russian 100% Genuine Escorts I...
Call Girls In Sikandarpur Gurgaon ❤️8860477959_Russian 100% Genuine Escorts I...
 
Lowrate Call Girls In Sector 18 Noida ❤️8860477959 Escorts 100% Genuine Servi...
Lowrate Call Girls In Sector 18 Noida ❤️8860477959 Escorts 100% Genuine Servi...Lowrate Call Girls In Sector 18 Noida ❤️8860477959 Escorts 100% Genuine Servi...
Lowrate Call Girls In Sector 18 Noida ❤️8860477959 Escorts 100% Genuine Servi...
 
Call Girls In Connaught Place Delhi ❤️88604**77959_Russian 100% Genuine Escor...
Call Girls In Connaught Place Delhi ❤️88604**77959_Russian 100% Genuine Escor...Call Girls In Connaught Place Delhi ❤️88604**77959_Russian 100% Genuine Escor...
Call Girls In Connaught Place Delhi ❤️88604**77959_Russian 100% Genuine Escor...
 
Monte Carlo simulation : Simulation using MCSM
Monte Carlo simulation : Simulation using MCSMMonte Carlo simulation : Simulation using MCSM
Monte Carlo simulation : Simulation using MCSM
 
Call Girls In Radisson Blu Hotel New Delhi Paschim Vihar ❤️8860477959 Escorts...
Call Girls In Radisson Blu Hotel New Delhi Paschim Vihar ❤️8860477959 Escorts...Call Girls In Radisson Blu Hotel New Delhi Paschim Vihar ❤️8860477959 Escorts...
Call Girls In Radisson Blu Hotel New Delhi Paschim Vihar ❤️8860477959 Escorts...
 
VIP Kolkata Call Girl Howrah 👉 8250192130 Available With Room
VIP Kolkata Call Girl Howrah 👉 8250192130  Available With RoomVIP Kolkata Call Girl Howrah 👉 8250192130  Available With Room
VIP Kolkata Call Girl Howrah 👉 8250192130 Available With Room
 
Vip Dewas Call Girls #9907093804 Contact Number Escorts Service Dewas
Vip Dewas Call Girls #9907093804 Contact Number Escorts Service DewasVip Dewas Call Girls #9907093804 Contact Number Escorts Service Dewas
Vip Dewas Call Girls #9907093804 Contact Number Escorts Service Dewas
 
A DAY IN THE LIFE OF A SALESMAN / WOMAN
A DAY IN THE LIFE OF A  SALESMAN / WOMANA DAY IN THE LIFE OF A  SALESMAN / WOMAN
A DAY IN THE LIFE OF A SALESMAN / WOMAN
 
/:Call Girls In Jaypee Siddharth - 5 Star Hotel New Delhi ➥9990211544 Top Esc...
/:Call Girls In Jaypee Siddharth - 5 Star Hotel New Delhi ➥9990211544 Top Esc.../:Call Girls In Jaypee Siddharth - 5 Star Hotel New Delhi ➥9990211544 Top Esc...
/:Call Girls In Jaypee Siddharth - 5 Star Hotel New Delhi ➥9990211544 Top Esc...
 
Lowrate Call Girls In Laxmi Nagar Delhi ❤️8860477959 Escorts 100% Genuine Ser...
Lowrate Call Girls In Laxmi Nagar Delhi ❤️8860477959 Escorts 100% Genuine Ser...Lowrate Call Girls In Laxmi Nagar Delhi ❤️8860477959 Escorts 100% Genuine Ser...
Lowrate Call Girls In Laxmi Nagar Delhi ❤️8860477959 Escorts 100% Genuine Ser...
 

Summary of Benefits

  • 1. Summary of Health Benefits
  • 2. Deductible Out of Pocket Preventative Care Hospital Services Prescription Services Emergency Services Mental Health Services Other Services Doctor’s Services Click
  • 3.
  • 4.
  • 5. Preventative Care 100% of deductible is waived for In-Network and Out-of –Network preventative care for
  • 6. Doctor’s Services Health Plans will look at what is Reasonable and Customary for doctors in your area and base your reimbursement on that amount. Office Visits Chiropractic $500 max per year Allergy In Network ##% covered after deductible ##% covered after deductible ##% covered after deductible Out of Network ##% R&C after deductible ##% R&C after deductible ##% R&C after deductible
  • 7. Emergency Services Health Plans will look at what is Reasonable and Customary for doctors in your area and base your reimbursement on that amount . Emergency Room and ER Physician In Network ##% after deductible Out of Network ##% R&C costs after deductible
  • 8. Hospital Services Health Plans will look at what is Reasonable and Customary for doctors in your area and base your reimbursement on that amount. In-Patient Surgical Facility Supplies Room and Board In-Patient Newborn Care Misc. Hospital Charges Out-Patient In Network ##% after deductible ##% after deductible ##% after deductible Out of Network ##% R&C costs after deductible ##% R&C costs after deductible ##% R&C costs after deductible
  • 9. Mental Disorders Substance Abuse Health Plans will look at what is Reasonable and Customary for doctors in your area and base your reimbursement on that amount. In-Patient Treatment Out-Patient Treatment In Network ##% after deductible ##% after deductible Out of Network ##% R&C costs after deductible ##% R&C costs after deductible
  • 10. Prescription Drug Benefit Retail, up to ## day supply ##% to $#### combined out of pocket maximum Mailorder, up to ## day supply ##% to $#### combined out of pocket maximum
  • 11. Other Services Private Nursing Duty ##% after deductible ##% R&C after deductible Home Health Care 80 Visits ##% after deductible ##% R&C after deductible Disagnostic X-ray, Lab (Outpatient and Inpatient) ##% after deductible ##% R&C after deductible Physical Therapy Occupational and speech ($500 max) (Therapy reviewed for medical necessity after 20 visits) ##% after deductible ##% R&C after deductible Ambulance ##% after deductible ##% R&C after deductible Durable Medical Equipment $### max per calendar year ##% after deductible ##% R&C after deductible